FC-ALPHA-R EXPRESSION ON POLYMORPHONUCLEAR LEUKOCYTE AND SUPEROXIDE GENERATION IN IGA NEPHROPATHY

被引:37
作者
KASHEM, A [1 ]
ENDOH, M [1 ]
NOMOTO, Y [1 ]
SAKAI, H [1 ]
NAKAZAWA, H [1 ]
机构
[1] TOKAI UNIV,DEPT PHYSIOL,ISEHARA,KANAGAWA,JAPAN
关键词
D O I
10.1038/ki.1994.114
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Superoxide (O-2(-)) production and Fc alpha R antigen expression of circulating polymorphonuclear leukocytes (PMNL) isolated from patients with IgA nephropathy (IgAN) and non-IgA mesangial proliferative glomerulonephritis (PGN) and healthy volunteers were investigated to establish their biological importance in the immunopathogenesis of mesangial proliferative glomerulonephritis. PMNL from both patient groups showed increased O-2(-) production when stimulated with N-formyl methionyl leucyl phenylalanine (FMLP) and phorbol myristate acetate (PMA). The increased O-2(-) generation demonstrated a positive correlation with the degree or proteinuria. Aggregated IgA caused enhanced O-2(-) production only in patients with IgAN who also showed a significant correlation with proteinuria. Increased expression of Fc alpha R on circulating PMNL was observed in IgAN patients as determined by flow cytometric analysis. The amount of Fc alpha R on PMNL was positively correlated with O-2(-) generation triggered with IgA aggregates. These results suggest that (1.) circulating PMNL may potentially be participating in the pathogenesis of glomerular injury in mesangial proliferative glomerulonephritis, and (2.) IgA aggregates/immune complexes may contribute to the immunopathogenesis of IgAN through augmenting the Fccu receptor-mediated generation of superoxide anion.
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页码:868 / 875
页数:8
相关论文
共 34 条
[11]  
FANTONE JC, 1982, AM J PATHOL, V107, P397
[12]  
GORTER A, 1987, IMMUNOLOGY, V61, P303
[13]   PARTICIPATION OF MACROPHAGES AND MONOCYTES IN EXPERIMENTAL IMMUNE-COMPLEX GLOMERULONEPHRITIS [J].
HOLDSWORTH, SR ;
NEALE, TJ ;
WILSON, CB .
CLINICAL IMMUNOLOGY AND IMMUNOPATHOLOGY, 1980, 15 (03) :510-524
[14]  
HOSTOFFER RW, 1993, J IMMUNOL, V150, P4532
[15]   THE STRUCTURE AND FUNCTION OF HUMAN-IGA [J].
KERR, MA .
BIOCHEMICAL JOURNAL, 1990, 271 (02) :285-296
[16]   POLYMORPHS INFILTRATE GLOMERULI IN MESANGIAL IGA GLOMERULONEPHRITIS [J].
KINCAIDSMITH, P ;
NICHOLLS, K ;
BIRCHALL, I .
KIDNEY INTERNATIONAL, 1989, 36 (06) :1108-1111
[17]  
LAI KN, 1991, CLIN EXP IMMUNOL, V85, P240
[18]   HEAT-AGGREGATED IGA PREPARED FROM PATIENTS WITH IGA NEPHROPATHY INCREASES CALCIUM MOBILIZATION AND SUPEROXIDE PRODUCTION OF HUMAN NEUTROPHILS INVITRO [J].
LAI, KN ;
LEUNG, JCK .
NEPHRON, 1993, 64 (01) :129-135
[19]  
LIGHT GS, 1971, MEDICINE, V50, P453
[20]   MORPHOGENESIS OF GLOMERULAR CRESCENTS IN RAPIDLY PROGRESSIVE GLOMERULONEPHRITIS [J].
MIN, KW ;
GYORKEY, F ;
GYORKEY, P ;
YIUM, JJ ;
EKNOYAN, G .
KIDNEY INTERNATIONAL, 1974, 5 (01) :47-56